| NPI | 1366541088 |
|---|---|
| Doing Business As | PATRICK MAIN PHCY 45TH MDG |
| Entity Type | Organization |
| Authorized Contact | HECTOR MORALES Chief Dha Pass 210-536-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332000000X Military/U.S. Coast Guard Pharmacy (Licence: FL RPH46929) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-08-12 |